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Curative - Austin, TX
posted about 1 month ago
Full-time
Austin, TX
Personal and Laundry Services
About the position
The Claims Systems Technical Analyst plays a crucial role in enhancing the functionality and integration of claims systems at Curative. This position involves collaborating with Operations and Technical teams to document requirements, design solutions, and improve claims processing systems, ensuring they meet the needs of the organization and the patients served.
Responsibilities
- Work closely with the Curative Tech team to provide guidance and support for development activities
- Document business requirements for system configuration and integration activities
- Support Data and Analytics teams with navigating complex data warehouse structures to create key reports and dashboards
- Support Operations and Configuration teams with troubleshooting, research, and analysis of claims system functionality and suggest improvements
Requirements
- 7+ years of working within a healthcare payer environment in Operations or Technology
- 5+ years of experience working hands-on with HealthRules Payer required, including knowledge of HR Connector APIs and the HR Data Warehouse schema
- Demonstrated expertise with technical tools such as Postman, SOAPUI, SQL Querying tools, Oracle databases, REST and SOAP APIs
- Deep knowledge of healthcare claims processing and payer operations
- Working knowledge of HIPAA EDI transactions (837, 835, 834, etc.)
- Demonstrated expertise with common tools such as MS Word, MS Excel
Nice-to-haves
- Knowledge of Robotic Processing Automation (RPA) tools in a healthcare payer environment is a plus
- Scripting experience (e.g. Python) is a plus
